Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08618 | Date 22/03/2023 |
| Token No | SM/22-23/8477 22/03/2023 | Serial | 024 |
| Patient Name | Mrs. SARASWATI CHOWDHURY | Contact No | NOT GIVEN |
| Address | LBS ROAD | Age | 36 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||